Department of Nursing, Hungkuang University, Shalu District, Taichung City, Taiwan (ROC) (Dr Chang); Joint Commission of Taiwan, Taipei, Taiwan (ROC) (Ms Wen); and Department of Family Medicine, China Medical University Hospital, Taichung, Taiwan (ROC) (Dr Lin).
Qual Manag Health Care. 2021;30(2):121-126. doi: 10.1097/QMH.0000000000000305.
A valid fall risk assessment scale could increase the efficacy of fall prevention programs. Most fall scales were developed for adults, and it is very difficult to predict and prevent falls in pediatric inpatients. This study aimed to investigate the reliability and validity of a pediatric fall assessment scale (PFAS).
This study was conducted as a cohort study in Taichung City, Taiwan. We analyzed the scale for internal consistency, test-retest reliability, and construct validity. A receiver operating characteristic (ROC) curve was generated to show sensitivity and specificity for predicting falls.
The results indicated that test-retest reliability was 0.89 (P = .000). The area under the ROC curve was 0.797. For the ROC curves for the pediatric fall risk assessment scale, with 11.5 points being the minimum score for a high risk of fall, sensitivity was 71.8%, specificity 74.6%, and the 95% CI was 0.746-0.848.
The results of the data analysis showed that the PFAS is an appropriate scale for assessing the fall risk of hospitalized pediatric patients in Taiwan and potentially in other nations.
有效的跌倒风险评估量表可以提高跌倒预防计划的效果。大多数跌倒量表都是为成年人开发的，预测和预防儿科住院患者的跌倒非常困难。本研究旨在探讨儿科跌倒评估量表（PFAS）的信度和效度。
本研究在台湾台中市进行了一项队列研究。我们分析了量表的内部一致性、重测信度和结构效度。生成受试者工作特征（ROC）曲线以显示预测跌倒的敏感性和特异性。
结果表明，重测信度为 0.89（P=0.000）。ROC 曲线下面积为 0.797。对于儿科跌倒风险评估量表的 ROC 曲线，以 11.5 分为跌倒高风险的最小得分，敏感性为 71.8%，特异性为 74.6%，95%CI 为 0.746-0.848。
数据分析结果表明，PFAS 是评估台湾住院儿科患者跌倒风险的合适量表，在其他国家也可能适用。
